Comparison between Power-Assisted Turbinoplasty and Submucosal Resection in the Treatment of Inferior Turbinate Hypertrophy

Abstract

Objectives: To compare the efficacy of power-microdebrider-assisted inferior turbinoplasty (PAT) with submucosal resection (SMR) in the treatment of inferior turbinate hypertrophy. Methods: A prospective randomized clinical trial study of 46 patients with bilateral inferior turbinate hypertrophy. Patients were randomly divided into 2 groups: PAT and SMR. Results: Intraoperative blood loss was 37.1 ± 7.4 ml in the PAT group and 47.8 ± 9.5 ml in the SMR group (means ± SD), while the operative times were 11.1 ± 1.7 and 29.4 ± 4.7 min, respectively. There was statistically significant lower blood loss in the PAT group, due to the shorter operating time. Conclusion: PAT is equally as safe and effective as SMR. It has a shorter operation time and reduced intraoperative blood loss.

Effect of Temporal Fascia and Pedicle Inferior Turbinate Mucosal Flap on Repair of Large Nasal Septal Perforation via Endoscopic Surgery

“…Surgical repair in our patients resulted in complete resolution of epistaxis and nasal obstruction, except in 1 case in which discharge persisted after the surgery. Although the use of an inferior turbinate flap may sacrifice too much mucosa which has been associated with scarring causing nasal obstruction, alar asymmetry [15], dry throat, nasal crusting, nasal bleeding, and extremely patent nasal cavities [21], excessive turbinate resection may lead to severe functional disturbances developing a secondary atrophic rhinitis [22]. In our series, the mucosa sacrifice was minimized and these complications did not occur.…”

Mini Inferior Turbinoplasty-Tunneling Technique Versus Conventional Partial Inferior Turbinectomy in Adults: A Comparative Study

“…In agreement with another study which concluded that the average time of surgery in Conventional Partial Inferior Turbinectomy was 11.1 minutes as the same in the present study. [2] While another study reported that the average time in Mini inferior turbinoplasty tunneling technique was 12 minutes. [9] Bleeding intra-operatively was significantly more in group B (Conventional partial inferior turbinectomy) than group A (Mini inferior turbinoplasty tunneling technique), the average in group B was 63 ml while in group A was 19 ml.…”

Turbinate Surgery in Chronic Rhinosinusitis: Techniques and Ultrastructural Outcomes

“…The submucosal resection leads to fibrosis of the submucosal tissue from the deep layers of the turbinate with the reduction of the immunocompetent cells and IgE. The resection also provokes a damage of the postnasal nerve fibers resulting in the reduction of sneezing and rhinorrhea in allergic patients [56,57].…”